WOMENS-HEALTH Messages for November, 2001: Re: treatment for pre-cancerous cervical cells

Re: treatment for pre-cancerous cervical cells

From: j wang, M.D. (anonymous@obgyn.net)
Tue, 6 Nov 2001 08:04:40 -0600 (CST)

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In reply to: susanna: "treatment for pre-cancerous cervical cells"

At Mon, 5 Nov 2001, susanna wrote: >
>I have recently had a number of abnormal pap-test results, and, four
>months ago, a colpo that came back negative. However, my follow-up pap
>showed 'mild pre-cancerous cells' and my obgyn wants to do another colpo
>in a couple of weeks. She says if the results show only mild
>pre-cancerous cells she would rather not go on to surgery that would
>take the top layer of my cervix because the pre-cancerous cells could
>re-occur and she would not be able to continue just taking layers of the
>cervix. She would prefer just to keep an eye on the cells and let my
>body's immune system take care of it. I may also have recently
>developed rheumatoid arthritis, however (the tests are not conclusive)
>and am worried about my auto-immune system.
>I would like to know:
>Is this a typical response by a doctor?

Yes. More decisions can be made once more information is obtained.

>Are there various ways of removing pre-cancerous cells, other than
>removing the tip of the cervix, ie, lazer or freezing of the cells?

Yes, there are several. There is a pamphlet fronm ACOG called "Disorders of the Cervix" - ask your doc for a copy.

>I am confused about the difference between 'removing the tip of the
>cervix' and a cone biopsy, which I understand removes the offending
>cells.
>Any help you can offer would be much appreciated. I cannot find the
>answers to my questions on this or any other site. Many Thanks.

-- James Wang, M.D Assitant Clinical Prof. Tufts University School of Medicine

statements are informational only and should not constitute a medical plan or treatment recommendation.

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